Wartenberg syndrome

Wartenberg syndrome also known as cheiralgia paresthetica is due to compression of superficial branch of the radial nerve in the distal forearm. It can be secondary to tight watch band or handcuffs, compression from distal radius fracture or idiopathic. 

Clinical presentation

Patients present with pain and parasthesia along the dorsum of distal forearm ,index finger and thumb. Clinically it mimics De Quervain tenosynovitis but symptoms mostly occur at rest and Tinel test can be also positive.

Radiographic features

Ultrasound

Loss of normal fibrillary pattern with swelling and increased vascularity on colour flow imaging. 

MRI
  • T2: characteristic increase in signal intensity along with swelling of the nerve.
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Article Information

rID: 25520
Section: Gamuts
Tags: stub, cases
Synonyms or Alternate Spellings:
  • Cheiralgia paresthetica
  • Wartenberg's syndrome

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